对体检技能的评估. 教师观察员和患者指导员的可靠性
1Division of General Medicine, Oregon Health Sciences University, Portland.
JAMA
|December 18, 1987
概括
教师观察员很难可靠地评估体检技巧,缺少32%的技能. 患者指导员表现出更高的可靠性,突出了医疗教育中需要改进的学员评估系统的需要.
科学领域:
- 医学教育 医学教育
- 临床技能评估 临床技能评估
- 医疗保健专业培训 医疗保健专业培训
背景情况:
- 有效的医学教育需要对体检技能的可靠评估.
- 当前的评估方法可能无法充分识别需要额外指导的学员.
- 标准化评估对于确保临床能力至关重要.
研究的目的:
- 评估教师观察员和患者指导员在评估医学学生体检技能的可靠性.
- 确定观察评估最不可靠的特定领域.
- 为了比较教师与患者教师评估的可靠性.
主要方法:
- 医学生进行了一般体检.
- 教师观察员和患者导师评估了学生的表现.
- 对于这两组观察者来说,计算了评价者之间的可靠性.
- 分析了特定的检查组件 (头部,部,腹部) 以获得一致性.
主要成果:
- 教师观察员可靠地评估了只有68%的体检技能.
- 对于头部,部和腹部检查,教师的同意是最低的.
- 患者教练可靠地评估了83%的技能,教师也可靠地评估了这些技能.
- 与教师相比,患者导师在特定领域的可靠性更高.
结论:
- 目前评估体检绩效的方法有限.
- 教师观察员在评估临床技能方面表现出显著的变化.
- 患者指导员,即使训练有限,在某些领域提供更可靠的评估.
- 极其需要完善和检查医疗教育中现有的实习生评估系统.
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